License for Use of "Physicians' Current Procedural Terminology",
(CPT) Fourth Edition

End User/Point and Click Agreement: CPT codes, descriptions and other data
only are copyright 2009 American Medical Association (AMA). All Rights Reserved
(or such other date of publication of CPT). CPT is a trademark of the AMA.

You, your employees and agents are authorized to use CPT only as contained
in the following authorized materials including but not limited to CGS fee
schedules, general communications, Part B Medicare Bulletin, and related
materials internally within your organization within the United States for
the sole use by yourself, employees, and agents. Use is limited to use in Medicare,
Medicaid, or other programs administered by the Centers for Medicare & Medicaid
Services (CMS). You agree to take all necessary steps to insure that your employees
and agents abide by the terms of this agreement.

Any use not authorized herein is prohibited, including by way of illustration
and not by way of limitation, making copies of CPT for resale and/or license,
transferring copies of CPT to any party not bound by this agreement, creating
any modified or derivative work of CPT, or making any commercial use of CPT.
License to use CPT for any use not authorized here in must be obtained through
the AMA, CPT Intellectual Property Services, 515 N. State Street, Chicago,
IL 60610. Applications are available at the AMA website.

This product includes CPT which is commercial technical data and/or computer
data bases and/or commercial computer software and/or commercial computer software
documentation, as applicable which were developed exclusively at private expense
by the American Medical Association, 515 North State Street, Chicago, Illinois,
60610. U.S. Government rights to use, modify, reproduce, release, perform,
display, or disclose these technical data and/or computer data bases and/or
computer software and/or computer software documentation are subject to the
limited rights restrictions of DFARS 252.227-7015(b)(2)(June 1995) and/or subject
to the restrictions of DFARS 227.7202-1(a)(June 1995) and DFARS 227.7202-3(a)June
1995), as applicable for U.S. Department of Defense procurements and the limited
rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted
rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987),
as applicable, and any applicable agency FAR Supplements, for non-Department
Federal procurements.

AMA Disclaimer of Warranties and Liabilities.

CPT is provided "as is" without warranty of any kind, either expressed or
implied, including but not limited to, the implied warranties of merchantability
and fitness for a particular purpose. AMA warrants that due to the nature of
CPT, it does not manipulate or process dates, therefore there is no Year 2000
issue with CPT. AMA disclaims responsibility for any errors in CPT that may
arise as a result of CPT being used in conjunction with any software and/or
hardware system that is not Year 2000 compliant. No fee schedules, basic unit,
relative values or related listings are included in CPT. The AMA does not directly
or indirectly practice medicine or dispense medical services. The responsibility
for the content of this file/product is with CGS or the CMS and no endorsement
by the AMA is intended or implied. The AMA disclaims responsibility for any
consequences or liability attributable to or related to any use, non-use, or
interpretation of information contained or not contained in this file/product.
This Agreement will terminate upon notice if you violate its terms. The AMA
is a third party beneficiary to this Agreement.

CMS Disclaimer

The scope of this license is determined by the AMA, the copyright holder.
Any questions pertaining to the license or use of the CPT must be addressed
to the AMA. End Users do not act for or on behalf of the CMS. CMS DISCLAIMS
RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. CMS
WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR
OTHER INACCURACIES IN THE INFORMATION OR MATERIAL CONTAINED ON THIS PAGE. In
no event shall CMS be liable for direct, indirect, special, incidental, or
consequential damages arising out of the use of such information or material.

This license will terminate upon notice to you if you violate the terms of
this license. The AMA is a third party beneficiary to this license.

POINT AND CLICK LICENSE FOR USE OF "CURRENT DENTAL TERMINOLOGY", ("CDT")

THE LICENSE GRANTED HEREIN IS EXPRESSLY CONDITIONED UPON YOUR ACCEPTANCE OF
ALL TERMS AND CONDITIONS CONTAINED IN THIS AGREEMENT. BY CLICKING BELOW ON
THE BUTTON LABELED "I ACCEPT", YOU HEREBY ACKNOWLEDGE THAT YOU HAVE
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ORGANIZATION. AS USED HEREIN, "YOU" AND "YOUR" REFER TO
YOU AND ANY ORGANIZATION ON BEHALF OF WHICH YOU ARE ACTING.

Subject to the terms and conditions contained in this Agreement, you, your
employees, and agents are authorized to use CDT-4 only as contained in the
following authorized materials and solely for internal use by yourself, employees
and agents within your organization within the United States and its territories.
Use of CDT-4 is limited to use in programs administered by Centers for Medicare & Medicaid
Services (CMS). You agree to take all necessary steps to ensure that your
employees and agents abide by the terms of this agreement. You acknowledge
that the ADA holds all copyright, trademark and other rights in CDT-4. You
shall not remove, alter, or obscure any ADA copyright notices or other proprietary
rights notices included in the materials.

Any use not authorized herein is prohibited, including by way of illustration
and not by way of limitation, making copies of CDT-4 for resale and/or license,
transferring copies of CDT-4 to any party not bound by this agreement, creating
any modified or derivative work of CDT-4, or making any commercial use of
CDT-4. License to use CDT-4 for any use not authorized herein must be obtained
through the American Dental Association, 211 East Chicago Avenue, Chicago,
IL 60611. Applications are available at the American Dental Association website.

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is" without warranty of any kind, either expressed or implied, including
but not limited to, the implied warranties of merchantability and fitness
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related listings are included in CDT-4. The ADA does not directly or indirectly
practice medicine or dispense dental services. The sole responsibility for
the software, including any CDT-4 and other content contained therein, is
with (insert name of applicable entity) or the CMS; and no endorsement by
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for any consequences or liability attributable to or related to any use,
non-use, or interpretation of information contained or not contained in this
file/product. This Agreement will terminate upon notice to you if you violate
the terms of this Agreement. The ADA is a third-party beneficiary to this
Agreement.

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copyright holder. Any questions pertaining to the license or use of the CDT-4
should be addressed to the ADA. End users do not act for or on behalf of
the CMS. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END
USER USE OF THE CDT-4. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE
TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL
COVERED BY THIS LICENSE. In no event shall CMS be liable for direct, indirect,
special, incidental, or consequential damages arising out of the use of such
information or material.

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Top Claim Submission Errors for Hospice Providers: Error U5106

Reason for error: Hospice elections and benefit periods
are posted to the Common Working File (CWF) when notice of elections (NOEs)
and/or claims are processed. When another hospice NOE is submitted that overlaps
the election/benefit period posted to CWF, including a duplicate NOE, the NOE
will receive this reason code.

Claim processing result: Return to Provider (RTP)

How to prevent/resolve:

Ensure that the NOE you are submitting is not a duplicate of a previously
submitted/processed NOE. Use FISS Option 12 to check for previously submitted
NOEs.

Before submitting an NOE (81A or 82A), review the beneficiary's
hospice benefit periods on ELGH Page 9 or ELGA Page 2. Ensure the Admit Date
on the NOE you are submitting does not fall within the START DATE and TERM
DATE of the benefit period on ELGH/ELGA.